title: Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with E-prescribing.
abstract: OBJECTIVE
  The purpose of this study was to identify and describe safety improvements and concerns indicated by providers and nurses in a rural community ambulatory care practice using an electronic health record with an e-prescribing feature (EHR with eRx).
  
  
  METHODS
  Two focus groups were conducted; 1 with providers and the other with nurses. Participants responded to questions and discussed their perceptions of safety improvements and concerns with use of an EHR with eRx. Transcripts were analyzed using sequential and continuous analytic methods.
  
  
  RESULTS
  Three themes centered on efficiency and patient safety emerged from data analysis: (1) EHR with eRx adoption has led to new improvements and concerns for patient safety, (2) the EHR with eRx has affected efficiency in the clinic, and (3) EHR with eRx adoption has led to workarounds.
  
  
  CONCLUSIONS
  Concerns remain among providers and nurses regarding the use of EHR with eRx applications, although concerns differed between groups. Therefore, When EHR improvements are planned, it is important to consider the differing needs of the professionals who deliver care.
authors.affiliation: Department of Pharmacy Sciences and Center for Health Services Research and Patient Safety, School of Pharmacy and Health Professions, Creighton University, Omaha, Nebraska.
authors.forename: James D
authors.initials: JD
authors.lastname: Bramble
authors.forename: Amy A
authors.initials: AA
authors.lastname: Abbott
authors.forename: Kevin T
authors.initials: KT
authors.lastname: Fuji
authors.forename: Karen A
authors.initials: KA
authors.lastname: Paschal
authors.forename: Mark V
authors.initials: MV
authors.lastname: Siracuse
authors.forename: Kimberly
authors.initials: K
authors.lastname: Galt
mesh_terms: D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D057286:Electronic Health Records; D055695:Electronic Prescribing; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D009726:Nurses / Q000523:psychology*; D061214:Patient Safety; D010820:Physicians / Q000523:psychology*; D019035:Rural Health Services
keywords: EHR; e-prescribing; health information exchange; patient safety; rural medical group practices